Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TERESA NAN MAIDAK, LCSW
Active Sole ProprietorTERESA NAN MAIDAK, LCSW is a Clinical Social Worker healthcare provider located in THOMSON, Illinois. NPI 1972295517 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · THOMSON, IL
Registration Details
- NPI Number
- 1972295517
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 23, 2023 (3.2128968390418 yrs)
- Last Updated
- May 23, 2023
- License
-
149.012739 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2511 MARKET STTHOMSON, IL, 612858525Browse IL providers · Browse ZIP 61285
- Phone
- 8157180237
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.